Wastewater-based surveillance detects hepatitis A virus in Alberta, indicating potential as a public health tool.
HAV was detectable in wastewater of both municipalities and neighbourhoods within a low prevalence setting. Wastewater HAV was associated with population metrics and socioeconomic factors, including immigration. WBS data correlated strongly with clinical disease revealing a minimal burden of undiagnosed infections. This demonstrates the feasibility of HAV WBS and its potential as a public health tool in non-endemic settings.
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Weyant et al. (2026) studied this question.
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